Gaskill S J, Marlin A E
Division of Neurosurgery, Duke University Medical Center, Durham, N.C.
Pediatr Neurosurg. 1990;16(1):35-9. doi: 10.1159/000120501.
The options for cervical spine stabilization have traditionally been the Minerva jacket (MJ) or the halo brace. In the preschool age child both of these devices have significant drawbacks; the halo brace because of its erosion and difficulty providing adequate fixation due to the thin calvarium of the young child and the MJ because of its bulk and weight. With the advent of polyethylene plastics, MJs are a more viable option without the disadvantages noted above. Six cases of cervical spine instability in preschool age children treated with a custom-molded MJ are presented. All patients achieved cervical spine stability with minimal morbidity. This technique is recommended as an alternative to the halo brace, as it provides reliable and satisfactory treatment of these difficult problems in preschool children.
传统上，颈椎稳定的选择是密涅瓦夹克（MJ）或头环支具。对于学龄前儿童，这两种装置都有明显的缺点；头环支具由于其侵蚀问题以及因幼儿颅骨薄而难以提供足够的固定，而密涅瓦夹克则因其体积和重量。随着聚乙烯塑料的出现，密涅瓦夹克成为一种更可行的选择，没有上述缺点。本文介绍了6例采用定制模制密涅瓦夹克治疗的学龄前儿童颈椎不稳定病例。所有患者均以最小的发病率实现了颈椎稳定。推荐该技术作为头环支具的替代方法，因为它为学龄前儿童这些难题提供了可靠且令人满意的治疗。
